Andrew J. Mikaelian, M.D. INC.
Otolaryngology in Westlake Village, CA. Organization (NPI-2).
NPI number1609804657
StatusActive
Last updated in NPPESSep 18, 2007
Details
- NPI
- 1609804657
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew J. Mikaelian, M.D. INC.
- Organization subpart
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Sep 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Practice location
1240 Westlake Blvd.Suite 135
Westlake Village, CA 91361-1987
Phone 805-494-9993
Mailing address
1240 Westlake Blvd.Suite 135
Westlake Village, CA 91361-1987
Authorized official
Andrew J. Mikaelian
Ceo
8054949993
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